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Children with unilateral cerebral palsy CP exhibit motor impairments predominantly on one side of the body, while also having ipsilesional and bilateral impairments. These impairments are known to persist through adulthood, but their extent have not been described in adults with CP.
Nineteen adults with CP Individual results were compared to sex, age and handedness matched normative data, describing the proportion of participants exhibiting impairments in each task-specific variable e. Associations were assessed using Spearman correlation coefficients between: 1: the results of the MA and LA of each limb in the unilateral task; and 2: the results of each limb in the unilateral vs.
The bilateral performance categories i. Feedback control was the unilateral performance category most often associated with impairments in bilateral tasks 6 out of 8 performance categories. Adults with CP experienced more impairment in bilateral tasks while still having substantial impairments in unilateral tasks. They frequently display Feedforward control impairments combined with a higher reliance on Feedback control during both bilateral and unilateral tasks, leading to poorer motor performance.
Assessing impairments in bilateral tasks in neurologically impaired patients is essential to understanding the motor impairments observed in those populations e. A review from Kantak et al. This helps understand the underlying impairments and mechanisms as asymmetric tasks are harder to execute.
